Organization
SPECTRUM, INC.
Active
Other names
Spectrum Youth and Family Services, Inc., Spectrum, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRANT CPA (CHIEF FINANCIAL OFFICER)
(802) 864-7423
Entity
Organization
Contact information
Practice address
84 PINE ST FL 2, BURLINGTON, VT 05401-4441
(802) 864-7423
(833) 857-8969
Mailing address
31 ELMWOOD AVE, BURLINGTON, VT 05401-4347
(802) 864-7423
(802) 660-0576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006363
—
VT
05
—
1016884
—
VT
01
—
28311
BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/15/2007
Last updated
02/26/2025
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